Palliative Service

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Palliative care

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Category/Organ System:	Category: Other Medical (old)
Type:	Medical Problem
Main Diagnosis:	Palliative Service
Sub Diagnosis:	PALLIATIVE SERVICE
Diagnosis Code:	90400 - Palliative Service
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:	Critical Care and/or Medicine
Status:	Currently Collected

Code Palliative Service for Medicine and ICU database program only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, even if the patient was not accepted to that service.- Task team review: April 10.14.Trish Ostryzniuk 17:08, 2014 April 10 (CDT)

Go to: Comfort Care for collection instructions on that care goal.

Coding Instruction for Palliative Care Service

Palliative Service code should only be used as follows:

• ADMIT slots:
  • only if the patient has been previously enrolled in palliative care service and they are involved in the patients care.
  • when a patient is accepted to medicine or ICU service by attending physician while in ER and also, during this time, the attending physician also writes a request to consult palliative services, then this code can be used in admit DX slot.
• COMPLICATION slots:
  • only if there is an actual consultation for Palliative Services after ward admission even if the patient was not accepted to that service.

Purpose and Use

I have patients transferred to STB "Palliative Care" unit...I think Laura has told me is Ward 8A- Under our dispo field under Dispo To there is a drop-down listing St B -Hospice-of which Laura is unaware of...are these both terms used equally as I am coding St B ward when transferring/discharging-should I be coding STB hospice when Palliative Care is warranted?--Llemoine 13:08, 2016 September 30 (CDT)

Related data

The diagnosis code Palliative Service is unrelated to a patient having ACP C or Comfort Care orders, but you might be able to code Comfort Care in that circumstance.

See also: Category:End-of-life related data

Legacy info

Before Nov 11, 2013 "90400 - "Palliative Care" used to be applied as a code if a patient was either: comfort care, ACP C, palliation, end of life care or consulted to palliative care service.